Dr Travis Wade Dierks, MD | |
800 W 5th Ave, Spokane, WA 99204-2803 | |
(509) 458-5800 | |
(509) 473-4916 |
Full Name | Dr Travis Wade Dierks |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 800 W 5th Ave, Spokane, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982820965 | NPI | - | NPPES |
808064500 | Medicaid | ID | |
8515561 | Medicaid | WA | |
1982820965 | Medicaid | MT | |
1982820965 | Medicaid | ID | |
1982820965 | Medicaid | WA | |
500622449 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD60009256 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spokane Emergency Physicians Ps | 8527050731 | 35 |
Entity Name | Spokane Emergency Physicians Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235147117 PECOS PAC ID: 8527050731 Enrollment ID: O20040330001357 |
Entity Name | Washington Emergency Physician Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635 |
Mailing Address | Practice Location Address |
---|---|
Dr Travis Wade Dierks, MD Po Box 34640, Seattle, WA 98124-1640 Ph: (509) 458-5800 | Dr Travis Wade Dierks, MD 800 W 5th Ave, Spokane, WA 99204-2803 Ph: (509) 458-5800 |
Dr. Richard W Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-484-8069 Fax: 509-462-4086 | |
Lynn Bergman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood, Emergency Physicians Services, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
Mary Anna Chiu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-2448 Fax: 509-482-2452 | |
David S Mcclellan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 | |
Charles N. Roberts, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5633 N. Lidergerwood, Spokane, WA 99208 Phone: 509-482-0111 | |
Stephen Penaskovic, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 | |
Michael J Wymore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave, Spokane, WA 99205 Phone: 509-474-3131 |